Healthcare Provider Details

I. General information

NPI: 1013899731
Provider Name (Legal Business Name): ECC ANCILLARY SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 WHITNEY AVE STE 380
HAMDEN CT
06518-3602
US

IV. Provider business mailing address

2200 WHITNEY AVE STE 380
HAMDEN CT
06518-3602
US

V. Phone/Fax

Practice location:
  • Phone: 203-281-3636
  • Fax: 203-287-2934
Mailing address:
  • Phone: 203-281-3636
  • Fax: 203-287-2934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL LOIACONO
Title or Position: MEDICAL DIRECTOR
Credential: D.O
Phone: 203-281-3636